驻新疆武警官兵2012—2016年新发肺结核住院情况分析
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摘要
目的对驻新疆武警部队2012-2016年新发肺结核住院病例进行调查,观察5年来患者发病趋势及人群特点,为指导区内部队有效开展结核病防控提供依据。方法收集驻新疆某总队医院2012-01至2016-12感染科确诊142例肺结核病例官兵患病资料,对符合条件病例按出院顺序逐人进行统计,剔除已确诊再次入院复查患者,完成全部病例登记后,再以年度为顺序,对季度、年度病例进行统计分析,对发病时间及特征人群进行分析。结果 142例中,男141例(99. 3%),女1例(0. 7%);年龄19～44岁,义务兵72例(50. 7%),士官59例(41. 5%),干部10例(7. 0%)。新发肺结核类型主要是继发性肺结核75例(52. 8%),其次为结核性胸膜炎67例(47. 2%)。患者治疗依从性良好99例(69. 7%),依从性欠佳43例(30. 3%)。疗程结束后达到临床治愈的69例(48. 6%),显著有效39例(27. 5%),有效29例(20. 4%),因退伍失去随访无法评价疗效5例(3. 5%)。结论应重点针对义务兵和士官人群做好部队结核病防治知识教育,同时要加强南疆驻村武工队,火车站、要道设卡执勤等驻村工作队人员防控。疾病在全年之中呈散发,每年第二、第三季度相对高发,应加强对高发时段的防控。
Objective To investigate new hospitalized cases of pulmonary tuberculosis in Armed Police Force in Xinjiang between 2012 and 2016 and to observe the trends of this disease and characteristics of sick populations over these five years in order to provide data for effective prevention and control of TB in Armed Police Force in this region. Methods The clinical data on 142 cases of TB confirmed by the Department of Infectious Disease in a corps hospital between January 2012 and December 2016 was collected.Eligible cases were statistically analyzed according to the time they were discharged,excluding patients admitted a second time,until all the cases were registered. The incidence of TB in each quarter of the year and each year was analyzed chronologically. The onset time and characteristics of vulnerable populations were also analyzed. Results Among the 142 cases,141 were males that accounted for 99. 3%,and one was female. Their age ranged from 19 to 44. The majority of them were sergeants and conscripts. The main types of tuberculosis were secondary pulmonary tuberculosis(75 cases),accounting for 52. 8%,followed by tuberculous pleurisy(67 cases),accounting for 47. 2%. Conclusions Knowledge of prevention and control of tuberculosis should be made more accessible to ordinary soldiers of Armed Police Force. More effective prevention and control are critical in varied places and by different means. The second and third quarters of the year often see high incidence of TB,so related departments should be alert.
Objective To investigate new hospitalized cases of pulmonary tuberculosis in Armed Police Force in Xinjiang between 2012 and 2016 and to observe the trends of this disease and characteristics of sick populations over these five years in order to provide data for effective prevention and control of TB in Armed Police Force in this region. Methods The clinical data on 142 cases of TB confirmed by the Department of Infectious Disease in a corps hospital between January 2012 and December 2016 was collected.Eligible cases were statistically analyzed according to the time they were discharged,excluding patients admitted a second time,until all the cases were registered. The incidence of TB in each quarter of the year and each year was analyzed chronologically. The onset time and characteristics of vulnerable populations were also analyzed. Results Among the 142 cases,141 were males that accounted for 99. 3%,and one was female. Their age ranged from 19 to 44. The majority of them were sergeants and conscripts. The main types of tuberculosis were secondary pulmonary tuberculosis(75 cases),accounting for 52. 8%,followed by tuberculous pleurisy(67 cases),accounting for 47. 2%. Conclusions Knowledge of prevention and control of tuberculosis should be made more accessible to ordinary soldiers of Armed Police Force. More effective prevention and control are critical in varied places and by different means. The second and third quarters of the year often see high incidence of TB,so related departments should be alert.
引文
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[6]李刚,刘小利,王丽曼,等.武警某部肺结核患者治疗依从性及其影响因素[J].武警医学,2013,24(11):951-953.
[7]吕江华,李月华,薛峰,等.2010-2015年新疆新涂阳肺结核患者流行病学特征分析[J].中国防痨杂志,2017,39(4):407-413)
[8]闫铁成,郭醉元,王亚玉.某战区新发结核病例调查分析[J].解放军预防医学杂志,2016,34(5):669-671.
[9]何花,曾谊.多指标联合检测对肺结核的临床诊断价值[J].临床肺科杂志,2011,8(16):1271-1272.
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[11]李向群,陈静,饶立歆,等.上海市学校结核病聚集性疫情分析[J].中国防痨杂志,2017,39(7):723-727.
[12]李立明.流行病学[M].北京:人民卫生出版社,2005:533-534.
[13]王静,吕青,陈明亭,等.2015年公众结核病防治核心信息知晓率调查结果分析[J].中国防痨杂志,2017,39(3):282-288.
[14]何瑛,李子建,刘元东.2000-2009年某部肺结核疫情流行病学特征分析[J].预防医学论坛,2010,16(12):1202.
[15]房宏霞,严新凤,张鑫,等.深圳市龙华新区社区健康服务中心结核病宣传志愿者对疑似肺结核患者转诊的相关知识信念行为调查[J].结核病与肺部健康杂志,2016,5(2):83-92.
[2]世界卫生组织.结核病[EB/OL].(2015-12-03).http://www.who.int/topics/tuberculosis/zh/.
[3]杨勇,付青梅,陈富华,等.武警某总队医院2005-2014年收治部队患者疾病谱分析[J].武警医学,2015,26(9):933-936.)
[4]Lange C,Abubakar I,Alffenaar J W,et al.Management of patients with multidrug-resistant/exten-sively drug-resistant tuberculosis in Europe:a TBNETconsensus statement[J].Eur Respir J,2014,44(1):23.
[5]郝永建,杜敏,刘冰.新时期军队肺结核预防控制的形势与对策[J].解放军预防医学杂志,2016,34(5):636-638.
[6]李刚,刘小利,王丽曼,等.武警某部肺结核患者治疗依从性及其影响因素[J].武警医学,2013,24(11):951-953.
[7]吕江华,李月华,薛峰,等.2010-2015年新疆新涂阳肺结核患者流行病学特征分析[J].中国防痨杂志,2017,39(4):407-413)
[8]闫铁成,郭醉元,王亚玉.某战区新发结核病例调查分析[J].解放军预防医学杂志,2016,34(5):669-671.
[9]何花,曾谊.多指标联合检测对肺结核的临床诊断价值[J].临床肺科杂志,2011,8(16):1271-1272.
[10]成诗明,马玙.痰涂片阴性活动性肺结核的诊断治疗与管理[M].北京:人民卫生出版社,2009.
[11]李向群,陈静,饶立歆,等.上海市学校结核病聚集性疫情分析[J].中国防痨杂志,2017,39(7):723-727.
[12]李立明.流行病学[M].北京:人民卫生出版社,2005:533-534.
[13]王静,吕青,陈明亭,等.2015年公众结核病防治核心信息知晓率调查结果分析[J].中国防痨杂志,2017,39(3):282-288.
[14]何瑛,李子建,刘元东.2000-2009年某部肺结核疫情流行病学特征分析[J].预防医学论坛,2010,16(12):1202.
[15]房宏霞,严新凤,张鑫,等.深圳市龙华新区社区健康服务中心结核病宣传志愿者对疑似肺结核患者转诊的相关知识信念行为调查[J].结核病与肺部健康杂志,2016,5(2):83-92.